# CPT 57155: Insertion of uterine tandem/vaginal ovoids for brachytherapy

Medicare CPT 57155 pays $397.47 in a non-facility setting and $238.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $359.78 in Arkansas to $488.35 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/57155-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $397.47 |
| National facility | $238.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $488.35 | $319.02 |
| District of Columbia | $446.43 | $259.14 |
| California | $435.75 | $247.62 |
| New York | $435.73 | $258.37 |
| New Jersey | $434.40 | $255.37 |
| Washington | $429.53 | $248.29 |
| Massachusetts | $426.33 | $247.70 |
| Connecticut | $420.56 | $249.33 |
| Hawaii | $420.38 | $239.61 |
| Florida | $412.73 | $253.21 |
| Maryland | $409.96 | $244.21 |
| Colorado | $409.84 | $240.68 |
| Rhode Island | $406.07 | $241.84 |
| Oregon | $406.04 | $238.55 |
| Illinois | $404.82 | $251.20 |
| New Hampshire | $404.34 | $238.84 |
| Puerto Rico | $399.60 | $238.86 |
| Virgin Islands | $399.60 | $238.86 |
| Montana | $397.44 | $238.45 |
| Pennsylvania | $395.65 | $239.92 |
| Nevada | $395.12 | $235.97 |
| Delaware | $394.18 | $237.10 |
| Texas | $393.98 | $237.45 |
| Wyoming | $393.48 | $234.49 |
| Minnesota | $392.87 | $229.27 |
| Georgia | $390.88 | $239.20 |
| Michigan | $390.66 | $241.36 |
| Virginia | $389.31 | $233.02 |
| Arizona | $388.61 | $234.55 |
| North Dakota | $388.34 | $229.36 |
| Vermont | $387.74 | $230.34 |
| South Dakota | $387.27 | $228.28 |
| Utah | $383.04 | $233.59 |
| New Mexico | $382.76 | $236.97 |
| Maine | $382.19 | $230.28 |
| Missouri | $379.58 | $233.68 |
| Louisiana | $379.54 | $234.38 |
| Ohio | $378.94 | $233.78 |
| South Carolina | $378.87 | $231.96 |
| Wisconsin | $377.83 | $225.52 |
| North Carolina | $377.56 | $229.22 |
| West Virginia | $376.00 | $237.84 |
| Indiana | $373.92 | $226.54 |
| Kentucky | $372.36 | $231.02 |
| Idaho | $372.22 | $225.95 |
| Nebraska | $371.40 | $224.66 |
| Oklahoma | $371.10 | $229.12 |
| Tennessee | $370.84 | $226.32 |
| Iowa | $369.98 | $224.50 |
| Kansas | $369.26 | $225.54 |
| Alabama | $364.00 | $224.88 |
| Mississippi | $363.65 | $226.77 |
| Arkansas | $359.78 | $223.21 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 57155 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules